Kelli Ann Henricksen DPT

NPI 1790931616 - Physical Therapist - 225100000X

NPI Details
NPI 1790931616
Gender Female
Enumeration Date 08/12/2008
Last Updated 03/04/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
8750 TALLON LN NE
SUITE C
LACEY WA, 98516-6608, US
Phone (360) 456-1072
Fax (360) 459-9954
Business Location
8750 TALLON LN NE
SUITE C
LACEY WA, 98516-6608, US
Phone (360) 456-1072
Fax (253) 840-6340
Toxanomy
Taxonomy Code 225100000X
License State Washington
License Number PT60028377
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According to our database, Kelli Ann Henricksen DPT NPI is 1790931616, taxonomy code is 225100000X and license number is PT60028377, license state is located at Washington. Kelli Ann Henricksen DPT physically located at 8750 Tallon Ln Ne, Lacey WA, 98516-6608. NPI Number Kelli Ann Henricksen DPT has the Individual type.

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1790931616 NPI number is provided on an as is basis without warranty of any kind. 1790931616 is maintained by the National Plan & Provider Enumeration System. The contents of Kelli Ann Henricksen DPT are for informational purposes only.